Individual
MRS. TAWANDA MICHELLE CUNNINGHAM-BLAKENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
57 W END AVE, NEWARK, NJ 07106-1929
(973) 230-8177
Mailing address
57 W END AVE, NEWARK, NJ 07106-1929
(973) 230-8177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
691695
NY
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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